Andre Heinemann MD

zakkr:

After a while you learn the subtle difference
Between holding a hand and chaining a soul,

And you learn that love doesn’t mean leaning
And company doesn’t mean security.

And you begin to learn that kisses aren’t contracts
And presents aren’t promises,

And you begin to accept your defeats
…

jayparkinsonmd:

As a doctor, starting your own practice can be challenging. The biggest issue here is what do you do on the first day you hang your shingle? It’s not like you’re busy seeing 20 patients. And if you’re not busy, you’re not making money. A practice has to grow gradually and organically over time. Also, opening a traditional practice is expensive. But what if you opened your practice and you were busy the first day? Well, that’s what we’d like to facilitate.

Sherpaa is growing like crazy. And that’s a wonderful thing. This means we’re getting calls on a regular basis from our clients and we’re either solving the issue over email or the phone or referring them to our favorite specialists. But the point is, we’d love to partner with a really wonderful doctor here in NYC who wants to set up a house call (or rather, an office call) practice to see our clients. When anyone has a health issue, you’d visit their office and treat them. It’s super convenient for them. And super fun and fulfilling for you. 

Here’s the kicker. This would be almost exactly like the house call practice I set up as my first practice. The overhead would be next to nothing. I started my practice with $1500 and my overhead was less than 10%. And, right from the start, you’d have immediate business because we’d serve as your referral source to take care of our people. We’d all win. You, Sherpaa, and Sherpaa’s lovely people we cover. 

Anyway, just a thought. But I think it would be wonderful. Shoot me an email if you’re interested.

photo source

anoncentral:

AFP Photo/Frederick Florin

Image from Twitter/@judithineuropa

AFP Photo/Frederick Florin

The European Parliament has rejected ACTA, a controversial trade agreement, which was widely criticized over its likely assault on internet freedoms.

Supporters of the…

jayparkinsonmd:

What really happens to our muscles as we age if we are chronically active?

These are MRI cross sections of leg muscles. Via this recently published study in the journal Physician and Sports Medicine. See also.

How does 1mSv (1 milli Sievert) visually compare to your last LA to JFK flight?

2012

I wish all of you a happy, healthy and prosperous 2012.

Thank you, great post - difference between perception and evidence :-) Evidence rules!

jayparkinsonmd:

In the latest advance for health care accountability, the country’s leading hospital accreditation board, the Joint Commission, released a list on Tuesday of 405 medical centers that have been the most diligent in following protocols to treat conditions like heart attack and pneumonia. Almost without exception, most highly regarded hospitals in the United States, from Johns Hopkins in Baltimore to the Mayo Clinic in Rochester, Minn., did not make the list.

The Joint Commission list omitted the Cleveland Clinic; Massachusetts General Hospital in Boston; Duke University Medical Center in Durham, N.C.; Ronald Reagan U.C.L.A. Medical Center; and the University of California San Francisco Medical Center, among others. It did not include a single hospital in New York City, or the most prominent centers in Chicago and Houston.

The safest and most effective hospitals aren’t always what you think. Many of the nation’s “top” hospitals think their reputation allows them to do whatever they want, when, in the end, the evidence now suggests you’ll get higher quality, safer care at your local no-name hospital.

jayparkinsonmd:

theatlanticvideo:

‘Always a Family’ Remembers a Father’s Last Phone Call on 9/11

StoryCorps records true stories as told by real people and then brings them to life with animation. ‘Always a Family’ is the heartbreaking story of a father who called his family on the morning of September 11 from the 103rd floor of the North Tower to say goodbye.

This one is completely heartbreaking — you’ll probably need a hug after you watch it.

StoryCorps is one of my favorite things on the internet, in addition to David Lynch’s Interview Project. But this story is heartbreaking. If you knew the person you loved only had a short time left on this earth, but things fell apart, what would you do to fix your relationship with him or her? I guess the truth is that we all just have such a short time in this world, and our relationships are all we have. You’ve got to throw everything you can into them, because, it’s situations like this that give us all a bit of perspective. Get over some differences. Focus on the good in each other. Know that the vast majority of problems you have in this relationship will very likely resurface in future relationships. And just get on with living life to it’s fullest. Life’s too short not to work things out.

What’s your opinion about using mind altering substances and the taboo about it? Sam Harris has written a great and educational article to start a conversation!

Atlantis launched one final time

The Space Shuttle launched from KSC, one final time, a beautiful spectacle live on NASA TV in HD, 4.5 Million pounds of hardware and humans ascending into the sky on their way to the International Space Station. Unfortunately the weather in St. Petersburg didn’t allow me to watch the launch live in the sky.

After 135 launches, many of which I watched live and in person, I admit I am getting a little sentimental. What is most amazing is the feeling I get from events like these, enthusiasm crossing race, gender, religion, political orientation, for a few minutes all minds focused on just one thing.